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Question: From Olympia, Washington, USA: Our 2 year old daughter was just diagnosed with type 1. We are trying to keep her blood sugar level between 100 and 200. I have two questions: (1) Is there damage, and if so what type, by keeping her blood sugar at 150-200? (2) She complains about being hungry and feeling pain when her blood sugar level is 150-200 when she hasn't had insulin for 14-15 hours (overnight). Is it possible she just lacks the insulin to process the sugar she has? Is there a test for insulin in the blood that could tell us this? Answer: Managing diabetes in a 2 year old can be a frustrating process. It is unlikely that she will have any damage from a blood sugar level of 150-200 at this young age. However, as she grows -- especially into her teen years, more aggressive control of her blood sugar is important to help decrease her risk for long-term complications of diabetes. Other than the routine testing of blood sugars every day and a routine Hemoglobin A1c (which typically is monitored every 3 months in this age group), there is usually no other testing that is helpful in controlling diabetes at this age. Usually, one uses a longer acting insulin such as NPH, Lente, or Ultralente insulin at dinner or bedtime to provide for insulin needs overnight -- thus, your daughter really is not "without" insulin for the 14-15 intervening hours of sleep. MSB DTQ-19991031083803 Original posting 29 Dec 1999 Posted to Daily Care

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Last Updated: Tuesday April 06, 2010 15:09:07
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